Ercp lesion ablate w/dilate 43278 at University Hospitals Cleveland Medical Center
11100 Euclid Avenue, Cleveland OH 44106|3999 Richmond Road, OH · University Hospitals · · NPI 1043397292
$5,886.75
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$7,849.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$2,119.23 with Medical Mutual of Ohio vs $7,064.10 with Fortified Provider Network — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Medical Mutual of Ohio | Northern Ohio Commercial | $2,119.23 | ↓ -64% |
| University Health Employee Plan (Contigo) | Commercial | $3,139.60 | ↓ -47% |
| WellCare by AllWell | Medicare Advantage | $3,647.57 | ↓ -38% |
| Molina | Medicare Advantage | $3,647.57 | ↓ -38% |
| Aetna | Medicare Advantage | $3,647.57 | ↓ -38% |
| Humana | Medicare Advantage | $3,647.57 | ↓ -38% |
| Primetime Health Plan | Medicare Advantage | $3,647.57 | ↓ -38% |
| Anthem | Medicare Advantage | $3,647.57 | ↓ -38% |
| United Healthcare | Medicare Advantage | $3,647.57 | ↓ -38% |
| Medical Mutual of Ohio | Medicare Advantage | $3,647.57 | ↓ -38% |
| The Health Plan | Medicare Advantage | $3,647.57 | ↓ -38% |
| Cigna | Medicare Advantage | $3,647.57 | ↓ -38% |
| Devoted Health | Medicare Advantage | $3,647.57 | ↓ -38% |
| SummaCare | Medicare Advantage | $3,647.57 | ↓ -38% |
| Paramount | Medicare Advantage | $3,757.00 | ↓ -36% |
| Valor Health Plans | Medicare Advantage | $3,829.95 | ↓ -35% |
| Perennial Advantage of Ohio | Medicare Advantage | $3,829.95 | ↓ -35% |
| Buckeye Plain Ministries | Fund | $3,924.50 | ↓ -33% |
| Sunrise Plain Communities | Fund | $3,924.50 | ↓ -33% |
| Christian Healthcare Ministries | Fund | $3,924.50 | ↓ -33% |
| Amish Aid Community Plan | Fund | $3,924.50 | ↓ -33% |
| Amish Church Fund and Workers Aid Plan | Fund | $3,924.50 | ↓ -33% |
| Immergrun | Commercial | $3,924.50 | ↓ -33% |
| Medical Mutual of Ohio | MedFlex Commercial | $4,042.24 | ↓ -31% |
| United Healthcare | Nexus Commercial | $4,144.27 | ↓ -30% |
| Anthem | Tiered/Pathway Commercial | $4,144.27 | ↓ -30% |
| Anthem | Pathway Commercial | $4,144.27 | ↓ -30% |
| CareSource | Marketplace | $4,238.46 | ↓ -28% |
| JP Farley | Commercial | $4,262.01 | ↓ -28% |
| Cigna | PPO Commercial | $4,356.20 | ↓ -26% |
| Enterprise Group Planning | Commercial | $4,395.44 | ↓ -25% |
| Ambetter | Commercial | $4,395.44 | ↓ -25% |
| Anthem | Traditional Commercial | $4,489.63 | ↓ -24% |
| Health Ohio Network | Commercial | $4,552.42 | ↓ -23% |
| Anthem | Blue Access Commercial | $4,638.76 | ↓ -21% |
| Aetna | OPN Commercial | $4,685.85 | ↓ -20% |
| United Healthcare | Commercial | $4,709.40 | ↓ -20% |
| Immergrun | Fund | $4,709.40 | ↓ -20% |
| Medical Mutual of Ohio | SuperMed Commercial | $4,937.02 | ↓ -16% |
| Medical Mutual of Ohio | NAS Commercial | $4,937.02 | ↓ -16% |
| AultCare | Commercial | $4,944.87 | ↓ -16% |
| Cigna | CSN Commercial | $4,968.42 | ↓ -16% |
| HealthSmart | Commercial | $5,101.85 | ↓ -13% |
| The Health Plan | Commercial | $5,101.85 | ↓ -13% |
| Ohio Health Choice | Preferred Health Choice Plus Commercial | $5,101.85 | ↓ -13% |
| Aetna | Commercial | $5,203.89 | ↓ -12% |
| Cigna | OAP Commercial | $5,235.28 | ↓ -11% |
| SummaCare | Commercial | $5,337.32 | ↓ -9% |
| Medical Mutual Traditional/Health Ohio | Commercial | $5,494.30 | ↓ -7% |
| Aetna | NAP Commercial | $6,153.62 | ↑ +5% |
| Ohio Preferred Network | Commercial | $6,279.20 | ↑ +7% |
| Beech Street | Commercial | $6,279.20 | ↑ +7% |
| First Health | Commercial | $6,514.67 | ↑ +11% |
| Century Health Network | Commercial | $6,671.65 | ↑ +13% |
| Private Healthcare System | Commercial | $6,750.14 | ↑ +15% |
| Ohio Health Choice | Commercial | $7,064.10 | ↑ +20% |
| MultiPlan | Commercial | $7,064.10 | ↑ +20% |
| Fortified Provider Network | Commercial | $7,064.10 | ↑ +20% |
| CareSource | Managed Medicaid | not published by hospital | — |
| United Healthcare | Managed Medicaid | not published by hospital | — |
| Buckeye | Managed Medicaid | not published by hospital | — |
| Molina | Managed Medicaid | not published by hospital | — |
| Amerihealth Caritas | Managed Medicaid | not published by hospital | — |
| Aetna (Ohio Rise) | Managed Medicaid | not published by hospital | — |
| Humana | Managed Medicaid | not published by hospital | — |
Visitor-reported prices
Comments
Ercp lesion ablate w/dilate 43278 at other Ohio hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic main campus | Cleveland | $11,375.65 | $1.10 – $15,750.90 |
| akron general | Akron | $2,059.20 | $1.10 – $3,796.53 |
| mercy hospital | Canton | $2,059.20 | $1.10 – $3,757.00 |
| University Hospitals Ahuja Medical Center | Beachwood | $5,948.25 | $900.00 – $7,137.90 |
| University Hospitals Beachwood Medical Center | Beachwood | $5,948.25 | $900.00 – $9,238.28 |
| University Hospitals Elyria Medical Center | Elyria | $5,948.25 | $3,647.57 – $6,565.63 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon | $5,948.25 | $3,647.57 – $6,565.63 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road | $5,948.25 | $3,647.57 – $6,565.63 |